With a chronic problem of morning puffiness, I’ve become an expert in de-puffing techniques (read: gua sha, icing and facial massage). Although the tools in my arsenal reduce my swollen appearance in the AM, I still want to know why my face puffs up in the first place. To find out what’s going on once my head hits the pillow and how to prevent the puffiness from happening, I turned to Dr. Hadley King, board-certified dermatologist, and Patricia Giles, licensed esthetician and beauty director at Skinney Medspa.